Professional Development 2 Flashcards
Reality Shock
- Inconsistency between the academic world and the world of work
- Occurs in novice nurses when they discover a work environment toward which they worked for several years and suddenly realize that they are not prepared
Reality Shock Phases
- Honeymoon
- Shock/Rejection
- Recovery
- Resolution
Honeymoon Phase
- Everything in the work world is just as the new graduate imagined
- Most often occurs during the orientation period
Shock Phase
- New nurse comes into contact with:
conflicting viewpoints
different ways of performing skills
lack of security of an expert available as a resource - Nurse may feel frightened or may react by forming a cold, hard shell
Recovery Phase
- Novice nurse begins to understand the new culture
- Novice nurse experiences less anxiety, and healing begins
Resolution Phase
- Novice nurse adjusts to the new environment
- Work expectations are more easily met
- The nurse has developed the ability to elicit change
From Novice to Expert: 5 stages
Novice Beginner Competent Proficient Expert
Novice
Has no professional experience
Ie: Nursing Student
Beginner
Can note recurrent meaningful situational components, but not prioritize them.
Ex: Licensed new grad.
Competent
Begins to understand actions in terms of long-range goals.
Proficient
Perceives situations as wholes, rather than in terms of aspects.
Expert
Has intuitive grasp of the situation and zeroes in on the accurate region of the problem.
Special Needs of Novice Nurses
- Interpersonal skills
- Clinical skills
- Organizational skills
- Delegation Skills
- Priority-setting skills
- Assertiveness skills
- Violence at work (horizontal or lateral violence)
Interpersonal Skills
Lack of comfort with interpersonal skills (e.g., making rounds, clarifying orders, participating in team conferences)
Attend unit meetings and volunteer for committees
Take an active interest in the nursing unit
Participate in professional organizations at the local, regional, state, and national levels
Make rounds with physicians and assist with procedures
Clinical Skills
doubt in ability to perform skills without supervision
- Observe experienced nurses as they perform skills
- Provide the nurse manager and mentor with a list of skills that need further practice
- Use the policy and procedure manual
Organizational Skills
Feeling Disorganized
- May be based on being overwhelmed by the new environment
- Use report sheets
- Contact former nursing instructors to discuss challenges
- Learn to delegate appropriately
Delegation Skills
uncertainty with delegation
Related to:
- limited exposure to delegation activities
- the personnel to whom one is delegating
- Communicate face to face: body language important
- Follow up by putting tasks in writing
- Be pleasant and open to suggestions
- Be willing to change task assignments, if indicated
- Offer help
- Provide sincere, positive reinforcement
Delegation Process
Choose appropriate task
Choose appropriate person
Set clear objectives and plan
Implement
Monitor
Evaluate/review
